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Wisconsin rates for HCPCS 61635

Tcat Plmt Iv Stent Icra W/Balo Angiop If Pfrmd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.68 / $2,877.44 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,499.00 / $16,401.00 / $25,162.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.05 / $4,184.74 / $6,749.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.68 / $1,636.94 / $2,749.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.75 / $2,797.19 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.68 / $1,636.94 / $2,749.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,925.65 / $4,501.00 / $6,093.71
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,688.12 / $18,688.12 / $18,688.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00